Intersystems & HackHealthcare 2nd
Challenge Definition
Workshop Report

GOAL
The goal of the challenge
definition workshop held on
February 9th was to create acatalogue of challenge hypotheses
belonging to the topics exploredduring the Exploratory Workshop
held on December 13th: enhancing
data sharing in and between
hospitals and enhancing data
sharing between the lines ofcare. Challenge hypotheses arevery specific, narrowly definedproblems that InterSystems could
sponsor at Hack Healthcare, andwhose solution can take place
within 18 months, without the needof new regulations or technology.

THE METHODOLOGY

Step 01: Choosing thedirection of the challenges
During the Exploratory Workshop inDecember, participants explored two key
topics for InterSystems: enhancing data
sharing in and between hospitals andenhancing data sharing between the linesof care.
While the first Challenge Identification
Workshop in February explored more in depth
the first topic of enhancing data sharing
between the lines of care, participants of thesecond Challenge Identification Workshop
focused on the second topic: enhancing data
sharing in and between hospitals.

Step 02: Identifying
issues specific to
one stakeholder
Divided in three teams, participants
mapped all the stakeholders concernedby the chosen topic, identifying themas specifically as possible. Amongst all
the stakeholders listed, they selecteda specific stakeholder, or persona,that was either represented by or
known very well by at least one of theparticipants of their team.
Participants examined the following
aspects related to their chosen persona
in order to analyse their specificperspective on the topic of enhancing
data sharing in and between hospitals:Persona
selectedProblem(s)identified

Orthopaedist ina hospital• During theconsultations,the specialists do
not encode theirnotes properly, andimportant information
often ends up in aplain text file in the“comments” field.

• When a patient has toOrthopaedists
go to an orthopaedist
working in two
different hospitals in two different
hospitals - even in
the same city - these
hospitals have nohistorical data, they
do not share thepatient’s medical file,imagery tests etc.
• Hospitals often
perform redundant
tests because they
can’t directly (orquickly enough)access test resultsfrom another hospital• Their pains: fears, frustrations, andobstacles that they need to overcome• Their gains: positive results that they
will achieve if all goes well. A successstory for resolving the problem• Their goals: what are they trying toaccomplish?
• Their thoughts and feelings: How dothey feel in this situation? What are
they thinking about?
Based on this analysis, participants
listed problems encountered by theirchosen persona, which they thenrefined into challenge hypotheses.

Hospital
considering
a third-party
platform• Hospitals do not see
the added value ofsharing information
share patient data
beyond the legallyrequired minimum.
For the same reason,
they also do notinvest in the qualityof data they share(resulting in incorrect
or incomplete
coding).

Step 03: The challenge
hypotheses
What is a challenge?
A challenge is, in the framework of
Hack Healthcare, a very specific,
narrowly defined problem whose
resolution can take place within 18
months and would not require new
regulations or technology.
Hack Healthcare is the open, public
sandbox that brings together allhealthcare ecosystem stakeholders ina seamless, successful collaboration
between people and companies – evenbetween those that are usually in directcompetition with each other – building
bridges across the ecosystem.
An example of challenge from Hack
Healthcare 2022 Edition:“Accurate picture of patient journey:
How might we collect, verify, augment
and analyse these data to build an
accurate picture of the patient journey,
taking into account the patient
experience and clinical data?”
Based on the previous exercise andthe problems identified, each group
generated a series of challengehypotheses related to their selected
persona. They stretched these newchallenge hypotheses with different
angles.

The Outcomes
The findings and discussions of theworkshop helped generating thefollowing challenge hypotheses:

What would be the first gains if we
could find solutions to these points
above?

Enhancing data sharing in andbetween hospitals – from theperspective of an orthopaedist
working in a hospital:• It would decrease the costs for thehospital and the specialist as it would
be less time-consuming and the riskof errors and/or readmissions would
also decrease.

During the consultations, the specialists
do not encode their notes properly, andimportant information often ends up ina plain text file in the “comments” field.
• How might we help specialists feelthe benefits of properly encoding
their notes (e.g., impact for research,better patient experience, timesavings across the healthcare system,etc.) without micro-managing them?
• How might we get hospitals toprovide specialists with tools for
simplifying / accelerating encoding,and train specialists in using them?
• How might we allow patients toverify, validate, consult notes takenby the specialist?
• How might we accelerate encoding
by automating encoding of plaintext
notes, and letting specialists validate
the encoded notes?

• It would create a better
communication with the patient.
Reassuring the patient would also
give more time for the human aspect.
• The note validations from thespecialist by the patient could help
him/her to better understand thedisease and would help him/her
to describe and/or identify better
his/her symptoms to find the rightdiagnostic.

Enhancing data sharing between
the lines of care – from theperspective of two orthopaedists
working in different hospitals:
When a patient has to go to anorthopaedist in two different hospitals- even in the same city - these hospitals
have no historical data, they do notshare the patient’s medical file, imagery
tests etc.
• How might we create, in a digitaland paper form, a template specificto orthopaedic cases so that thecommunication from one specialist
to another via the patient is possible?
• How might we motivate/incentivize
a specialist to share an accurate
medical report/file with a similar
specialist in another hospital?

Hospitals often perform redundant
tests because they can’t directly (orquickly enough) access test resultsfrom another hospital.
• How might we incentivize an hospital
to decrease or eliminate redundant
tests, from blood tests to radiologicalexaminations?
What would be the first gains if wecould find solutions to these points
above?
• The good cooperation between
specialists could improve extendedcare.
• It would allow to give better shareddiagnostics among experts avoiding
mistakes and errors with lack ofsharing information.

Enhancing data sharing between
the lines of care – from theperspective of a hospitalconsidering a third-party
platform:
Hospitals do not see the added value ofsharing information share patient data
beyond the legally required minimum.
For the same reason, they also do notinvest in the quality of data they share(resulting in incorrect or incomplete
coding).
• How might we build awareness inthe healthcare ecosystem of the
cumulative positive effects of sharing
health data?
• How might we further incentivize
medical providers to collect andshare high quality healthcare data?
• How might we incentivise hospitals
to share their patients’ data
to a central, autonomous andindependent platform, in order toaggregate the data and make itavailable to other stakeholders?

What would be the first gains if wecould find solutions to these points
above?
• It would improve medical
data quality.
• It would allow for all actors togain time.
• Hospitalization insurances could
play a facilitator role to incentivize
hospitals to share theirpatients’ data

What’s step 4?
Out of all the challenge hypotheses
generated during the three workshops,
InterSystems will establish the two
final challenges to sponsor at the Hack
Healthcare event. Along with all theother challenges brought by Hack
Healthcare partners, the two challenges
selected by InterSystems will be subject
to review from an extended grouprepresenting the entire healthcare
ecosystem in a series of Ecosystem
Workshops to ensure they staybusiness relevant for several companies
and organizations. After that, thechallenges will be presented to theHack Healthcare event on June 13-14,2023 and solutions around them will be
co-created from all event participants.

Thank you to all
the participantsThis workshop was held in the framework of
the partnership between InterSystems andHack Healthcare (www.hackhealthcare.be), a
2-day open innovation event aimed at creating
ingenious, unorthodox solutions for theHealthcare industry.

Etienne Cloet, Owner Bowec, Hendrik
Cloet, Owner Bowec, Marius Declerck,
CEO E-Health Venture, WilliamDeclerck, Medical Consultant E-HealthVenture, Jens Declerck, Data Quality
Manager I~HD, Gert Vanhaegt, Owner
M4B, Regis Verschueren, BusinessDevelopment Manager Digita, Lauro
Vanderborght, CRO & CFO Digita,
Tommy De Kimpe, Senior User
Experience Consultant; Andries
Demont, Sales Engineer InterSystems;
Geoffroy Vitoux, Marketing Programs
Manager InterSystems; Jelle Michiels,
Sales Engineer InterSystems; JanVekemans, Country Sales ManagerInterSystems